Inspection on 14/10/05 for 3 Norwich Road

This inspection was carried out on 14th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

3 Norwich Road 12/07/06

3 Norwich Road 24/02/06

3 Norwich Road 07/02/05

3 Norwich Road 26/05/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 3 Norwich Road Long Stratton Norwich Norfolk NR15 2PG Lead Inspector Maggie Prettyman Unannounced 14 October 2005 th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 3 Norwich Road I55 s27559 3 Norwich Rd v241153 UN 141005 (4).doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 3 Norwich Road, Address Long Stratton, Norwich, Norfolk. NR15 2PG 01508 536059 01508 536103 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Prospects Carole Margaret Thompson Care Home 3 Category(ies) of Learning Disability (3) registration, with number of places 3 Norwich Road I55 s27559 3 Norwich Rd v241153 UN 141005 (4).doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: N/A Date of last inspection 7th February 2005 Brief Description of the Service: 3,Norwich Road is a semi-detached house situated in the busy village of Long Stratton. The registered accommodation is on the ground and first floors and consists of three single bedrooms, a kitchen/diner and a lounge. Large garden to the back and car parking to the front of the premises. 3 Norwich Road I55 s27559 3 Norwich Rd v241153 UN 141005 (4).doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over one day by a single inspector. The home manager and one member of staff were interviewed. All the service users were out at work or other daytime activities. Records and recording systems were checked, and a tour of the home was completed. The inspector did not go in to service user rooms in their absence, but two semi open doors allowed an overall impression of a personalised and homely environment. One service user had been celebrating a birthday, and evidence of enjoyment by service users was seen. This is a small and homely environment with a small and sensitive staff team. The inspector was impressed by the user- focused nature of records, and with significant improvements in meeting standards since previous inspections. What the service does well: Service users have accessible information about the home in both a service user guide and statement of purpose. The home works hard to meet the assessed needs of service users. There is a comprehensive service user plan for everyone who lives in the home and service users are directly involved in decision making within the home. Safe and managed risk taking enables service users to maximise their independence. An individualised programme of meaningful employment and personal development activity is in place. Service users have contact with their families. The routines of the home are not institutional, and promote independence. Meals and mealtimes are flexible and involve service user participation and choice. Staff provide personal support to maximise privacy, dignity and control, and service users health is promoted and protected. Service user wishes and dislikes are listened to and acted upon. The home itself is homely and personalised. The small staff team have the skills required to support service users appropriately. The organisation is committed to training and staff development. The home has a positive and inclusive ethos. Records are kept up to date and with focus on the service user and their lives. 3 Norwich Road I55 s27559 3 Norwich Rd v241153 UN 141005 (4).doc Version 1.40 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 3 Norwich Road I55 s27559 3 Norwich Rd v241153 UN 141005 (4).doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection 3 Norwich Road I55 s27559 3 Norwich Rd v241153 UN 141005 (4).doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3 and 5 Prospective service users have the information they need to make an informed choice about where to live. Service users individual aspirations and needs are assessed. Service users know the home that they have chosen meets their needs and aspirations Service users do not have an individual written contract or statement of terms and conditions of the home. EVIDENCE: Since previous inspections much hard work has been done to develop a Statement of Purpose and Service User Guide that meet the standards required. These documents have been sensitively and clearly written to enable service users to understand their content and meaning. There have been no admissions for several years, and the service user group is stable and prospectively long term. No documented pre admission assessment took place prior to admission for the current group. However a comprehensive and user-friendly folder called “All About Me” has been constructed for each person, which contains information about all aspects of service user current and previous lives. One section of this folder contains templates for a full pre admission assessment to take place for future service users prior to admission. It is clear from service user records, daytime occupation, and future diary appointments that the group accesses a wide range of services and opportunities. Evidence of chiropody, opticians, dentist and health related 3 Norwich Road I55 s27559 3 Norwich Rd v241153 UN 141005 (4).doc Version 1.40 Page 9 appointments were seen. The home is based on a Christian ethos, but service users are not expected to hold this or any other faith. All documentation is written in a clear and understandable fashion, with pictorial representation where necessary to assist comprehension. Examination of service user files demonstrated that there is currently no contract or tenancy agreement in place for each service user. This situation must be rectified 3 Norwich Road I55 s27559 3 Norwich Rd v241153 UN 141005 (4).doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7, 9 and 10 Service users know their assessed and changing needs and personal goals are reflected in their individual plan. Service users make decisions about their lives with assistance as needed. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. EVIDENCE: Since previous inspection a comprehensive and appropriate care-planning document called “All About Me” has been introduced which meets the requirements of the standards. This document is user focused and user friendly, and looks at all aspects of the service user lives. There has been clear input from service users and notes are all kept in appropriate language and style. There are procedures and explanations for behaviour that may challenge, as well as for working with difficulties such as epileptic absences. Evidence of continuous input as well as formal reviews was seen. Photographs of service users should be included in these records. Service user rights to make decisions are upheld and encouraged. Information and support to enable choice was in evidence, and all service users are 3 Norwich Road I55 s27559 3 Norwich Rd v241153 UN 141005 (4).doc Version 1.40 Page 11 enabled to have independent advocates to support them as appropriate. Service users do not fully control their own finances, but all have individual pocket monies of sensible amounts that they carry themselves, and spend as they choose. The service users live as active and independent life as possible. There was evidence of group and individual trips and excursions. Staff interviewed have a sound knowledge of each service user and their understanding of safety in different situations. Action is taken in a variety of ways by staff to maximise independent activity, whilst minimising risk. Service user records in their ”All about me” folders are kept in their own rooms. This is to facilitate ownership of and access to the document. Each person’s room is viewed as their private space, and is not accessed without the service users permission. Other records are held in a small upstairs office with lockable filing cabinets. There is a computer system in the office, but this is not password protected, as it should be. 3 Norwich Road I55 s27559 3 Norwich Rd v241153 UN 141005 (4).doc Version 1.40 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 15, 16 and 17 Service users activities. Service users Service users lives. Service users EVIDENCE: are able to take part in age, peer and culturally appropriate have appropriate personal, family and intimate relationships. rights are respected and responsibilities recognised in their daily are offered a healthy diet, and enjoy their meals and mealtimes. Service users have a variety of different daytime occupations and activities. These range from paid employment, to sports, craft skills and gardening. Staff support and enable service users to be fully and meaningfully occupied on a daily basis. Service users maintain regular and positive relationships with their families, returning home for weekends and going on holiday together. The group interacts positively with each other, with normal “house mate” ups and downs. The manager expressed concern that people do not have wide friendship networks. The staff team do as much as they can to forge good community 3 Norwich Road I55 s27559 3 Norwich Rd v241153 UN 141005 (4).doc Version 1.40 Page 13 links and friendships. Service users attend many local activities, and go to church when they wish. The possibility of intimate relationships is not discounted, and service users would be offered supportive counselling if needed or appropriate. Service users live in a flexible and responsive environment. Freedom and choice are key to daily activities. Service user rooms can be locked if chosen and front door keys are given to service users. Staff respect service users private space and enter only when appropriate. Mail is opened with the service user on their return from work each day. Staff usually work in a lone capacity, and if two are present, the opportunity for one to one support is taken. Communal areas are accessed by all, and service users routinely do household chores and cooking with staff support. No one at present has a pet, but the managers’ dog is a regular and popular visitor. The consumption of alcohol is addressed only when service users consume an excess, and in the context of health and welfare. Food is clearly a focal and much enjoyed element of home life for service users. Meals are held at fairly regular times, but are not institutional. The two female service users enthusiastically join in with cooking. The day prior to the inspection had been a service users’ 40th birthday party, with a variety of favourite foods and drink. The regular menu is planned with service users weekly, and evidence of healthy eating cookbooks, and the menu itself showed a commitment to this. Food for snacks is available, with service users being offered appropriate support and guidance about over consumption and the risk of excessive weight gain. 3 Norwich Road I55 s27559 3 Norwich Rd v241153 UN 141005 (4).doc Version 1.40 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19 and 20 Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users do not control their own medication. The homes policies are designed to protect the service user. The administration of medicine can be unreliable, and needs to be improved. EVIDENCE: Service users require support only in terms of prompting with areas of personal care. Each person is encouraged to do as much as possible for themselves. Male staff do not enter the bathroom when female service users are using it, but prompt discretely from outside the door. Indirect observation is necessary because of the possibility of epileptic absence in the case of one service user. Rising times on non-work days are flexible. Service users enjoy shopping for clothes of their choice. Since previous inspection the home has conducted a health care review for each service user, which is fully documented in the “All about me” folders. Appropriate advice is taken from health care professionals on specific issues. The manager is to investigate the possibility of attending “Well man” and “Well woman” clinics with the local GP. Evidence of attendance at dentists, opticians, chiropodists and consultants was seen. Service users have been assessed as currently not being able to manage their own medication. A Boots MDS system is in place with appropriate recording 3 Norwich Road I55 s27559 3 Norwich Rd v241153 UN 141005 (4).doc Version 1.40 Page 15 charts. Most staff have been on an appropriate training course. Medicines are kept in a locked cupboard in the dining room. On the day of inspection it was noted that medication was recorded as not administered to one service user a few days earlier. This record was inappropriately written in the daily diary, with no note on service user drug or daily records. Additionally the drug itself was not in the blister pack for the relevant day and time. The importance of this lapse was fully recognised by the manager who will address the matter in supervision and team meetings to ensure it does not reoccur. 3 Norwich Road I55 s27559 3 Norwich Rd v241153 UN 141005 (4).doc Version 1.40 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 Service users views are listened to and acted upon, but a more detailed approach to recording complaints needs to be taken. Service users are protected from abuse, neglect and self-harm, but a tighter handover system on service user monies needs to be implemented. EVIDENCE: A suitably worded policy and procedure for concerns and complaints is in place. However there were no complaints recorded in the home. A discussion with the manager about what constitutes a complaint revealed that service users express the wish for change in service delivery in many ways, and that this is acted upon by staff, but not necessarily seen as “complaints”. A positive process of complaint recording will now be implemented to ensure that any patterns and trends can be recognised and addressed. Staff are booked to attend a “Protection of Vulnerable Adults “ course, and evidence of appropriate recording and reporting was seen. Staff work sensitively and appropriately in situations where behaviour that challenges others is expressed. Examination of service user financial records demonstrated some minor discrepancies. The system for recording and checking needs to be improved. Records additionally showed money being lent and paid back between service user monies. This practice must stop immediately. 3 Norwich Road I55 s27559 3 Norwich Rd v241153 UN 141005 (4).doc Version 1.40 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 30 The home is clean and hygienic, but improvements could and should be made. EVIDENCE: In general the home is clean and tidy, with evidence of acceptable normal daily living preventing it from being “spotless”. However the washing machine is in the kitchen, and no separate laundry and cleaning area is available because of lack of space. The kitchen is very small, and this hampers service users and staff preparing food together. Additionally the décor of the home looks quite “tired”, and is in need of refreshing. The manager expressed the hope that a suitable alternative house can soon be found to provide better accommodation and facilities such as a laundry room and extra bath/shower facilities. This will undoubtedly benefit service users, and should be seen as a priority, unless renovation and improvement of the existing property takes place. 3 Norwich Road I55 s27559 3 Norwich Rd v241153 UN 141005 (4).doc Version 1.40 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,34,35 and 36 An effective staff team supports Service users. Service users are supported and protected by the homes’ recruitment practices. Service users individual and joint needs are met by appropriately trained staff. Service users benefit from well-supported and supervised staff. EVIDENCE: The staff team meets with the requirements of the standards. There are enough people to cover the duty rota and cover sickness and leave requirements. A voluntary support is utilised but does not replace paid workers. Short term and relief staff are not used. A duty rota is clearly displayed for service users to see who will be working when. Staff meetings take place at least six times per year. Examination of staff files was limited as some information required by the standards is currently held at head office. Information on file indicated that documentation has, however been obtained. The files on site for all staff working in the home, including the manager, must be updated to contain the required documentation. There is a strong commitment to training staff by the organisation. The manager has a dedicated budget for training, and can and does exceed this if necessary. The organisation has recognised that its induction training procedure can be improved and is in the process of doing so. Training needs 3 Norwich Road I55 s27559 3 Norwich Rd v241153 UN 141005 (4).doc Version 1.40 Page 19 are identified in supervision and appraisal. Two staff have successfully completed NVQ training. The manager is in the process of an appropriate NVQ level 4 course, and is being given time and opportunity to study effectively. Individual supervision of staff takes place approximately every two months. Records of supervision and annual appraisal were seen. The manager is trained in supervision and support, and has further training booked. The manager recognises the risks and responsibilities of lone working and working with behaviour that may challenge others, and works to support staff in these areas. Staff interviewed expressed satisfaction about support received, and a feeling that this support was available at all times. 3 Norwich Road I55 s27559 3 Norwich Rd v241153 UN 141005 (4).doc Version 1.40 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39,41 and 42 Service users benefit from a well run home. Service users benefit from the ethos, leadership and management of the home. Service users views underpin the development of the home, but this is not formally assessed, as the standards require. Service users rights and best interests are safeguarded by the homes’ record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected in some areas. A fire safety check needs to take place as a matter of urgency. 3 Norwich Road I55 s27559 3 Norwich Rd v241153 UN 141005 (4).doc Version 1.40 Page 21 EVIDENCE: The Homes’ manager is an experienced and competent person who is currently studying for an appropriate NVQ Qualification in management. She is aware of her responsibilities in achieving the aims and objectives of the home. Policies and procedures are generally well implemented, and lapses in performance of care staff are addressed in staff meetings and supervision. All appropriate certificates and licences were displayed. Regulations are complied with. Training of staff is appraised and updated appropriately. As previously stated, service user contracts and tenancy agreements must be completed. The manager presents as an open and caring person who clearly leads by example. The home has a Christian ethos, but and understanding and respect of service users being free to hold a belief system of their choice was stated. Staff interviewed spoke of having good leadership and support. A commitment to equal opportunities was expressed in a variety of contexts. Evidence in the home in care notes, menu planning and environment demonstrated that service users views and choices are a focal part of care delivery. However the organisation has yet to implement a system of Quality Assurance in line with the standards. This must be rectified to ensure that the care and environment provided is regularly and effectively reviewed. Service users personal records are up to date and comprehensively and sensitively written. Each service user is involved in their daily records, which are retained by them in their personal room. The home is in the process of updating all training in safety. There has been a recent environmental health inspection. Substances under COSHH regulations are held in a locked cupboard. The boiler is regularly serviced, but a record of this is not kept. Electrical testing has been done but needs updating the manager is in the process of identifying a reliable and reasonably priced provider. Water temperatures are regulated to prevent scalding. A thermometer to routinely check its effectiveness needs to be purchased. Security of the building is good. A member of staff has been appointed as a Health and Safety representative, and has been appropriately trained. Some aspects of the home relating to fire safety caused concern on inspection, and a Fire Inspection by the local fire service is required as well as fire safety training for staff. 3 Norwich Road I55 s27559 3 Norwich Rd v241153 UN 141005 (4).doc Version 1.40 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 x 1 Standard No 22 23 ENVIRONMENT Score 2 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 2 Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x 2 Standard No 11 12 13 14 15 16 17 x 3 x x 3 3 3 Standard No 31 32 33 34 35 36 Score x x 3 2 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 3 Norwich Road Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score 3 3 1 x 3 1 x I55 s27559 3 Norwich Rd v241153 UN 141005 (4).doc Version 1.40 Page 23 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 5 Regulation 5 (1) Requirement Timescale for action 31/12/05 2. 22 3. 4. 5. 6. 10 20 23 23 7. 8. 9. 10. 34 39 42 42 Repeated Requirement. Each service user is to be provided with a Contract/ Statement of Terms and Conditions as required by the standards 22 Repeated requirement. A record of complaints received and action taken by the home to be kept. 17 Password protection to be provided for the office computer 13,17 All medication must be dispensed and recorded accurately 13 No lending of monies between service users individual cash tins must take place 13 Effective routines for checking amounts of money held in individual service users tins must be instituted 19, Staff records held in th home Schedule must include all items stated in 4 schedule 4 of the standards 10, 12, 24 An effective system of quality assurance as required by the standards be implemented 23, The homes fire safety must be schedule reviewed ideally with input from 4 the local fire service 13 Electrical testing must be I55 s27559 3 Norwich Rd v241153 UN 141005 (4).doc Immediate. Immediate. Immediate Immediate Immediate Immediate 31/3/06 Immediate 1/12/05 Page 24 3 Norwich Road Version 1.40 redone. 11. 12. 42 6 23 Schedule 3 Water temperatures to be checked regularly A photograph of the service user to be kept on their file Immediate RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. Refer to Standard 19 22 24 35 42 Good Practice Recommendations Service users should be enabled to access Well Man/Woman clinics with their consent. A more user friendly system of receiving complaints should be identified It is reccomended that the current investigation of finding more appropriate prmises be ciontinued with service user approval and involvement. Induction training should be improved Records of boiler servicing should be kept 3 Norwich Road I55 s27559 3 Norwich Rd v241153 UN 141005 (4).doc Version 1.40 Page 25 Commission for Social Care Inspection 3rd Floor Cavell House St Crispins Road Norwich NR3 1YF National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 3 Norwich Road I55 s27559 3 Norwich Rd v241153 UN 141005 (4).doc Version 1.40 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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